TAMARA TANNER
NPI 1053706937
Pediatrics - Pediatric Rheumatology in Bronx, NY

Q: What is Tamara Tanner's NPI number?

The NPI number for Tamara Tanner is 1053706937. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Q: What is Tamara Tanner's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Q: When was this NPI record last updated?

The NPPES record for Tamara Tanner was last updated on August 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 30, 2015PECOS Enrolled

111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tamara Tanner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMARA TANNER (NPI 1053706937) is an individual pediatric rheumatology provider in Bronx, New York, licensed in New York (289317) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053706937

Entity TypeIndividualFemale

Primary Taxonomy2080P0216X

Provider Legal NameTAMARA TANNER

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address3415 Bainbridge AveBronx, NY 10467-2403 · (718) 741-2450

Phone(718) 920-4321

Sole ProprietorNo

Enumeration DateMarch 30, 2015

Last NPPES UpdateAugust 26, 2020

NPPES CertifiedAugust 26, 2020

✔ NPI 1053706937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0216X

License✔ Licensed in NY · 289317

Definition

A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

111 E 210TH ST, Bronx, NY 10467

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tamara Tanner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)